Clinical Document Specialist

All the benefits and perks you need for you and your family : - Benefits from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources Our promise to you : Joining AdventHealth is about being part of something bigger.

It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.

AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.

Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule : Full Time Shift : Days Location : 410 S 11 th St, Lake Wales, FL 33853 The community you’ll be caring for : AdventHealth Lake Wales - AdventHealth Lake Wales is a licensed 160-bed hospital, with 24-hour emergency care and outpatient services including imaging, rehab, lab and wound care, that has been serving the community and surrounding areas.

• As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new research, leading-edge technology and an extensive team of medical specialists.
• Lake Wales is located in Central Florida in between Orlando and Tampa and is home to the Historic Bok Tower Gardens and Bird Sanctuary.

The role you’ll contribute : Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient.

The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, care management and etc.

The CDS adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance.

Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team : ·Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it easy, own it and keep me safe to every person they meet.

Delivers exceptional care and strives for excellence. Committed to improving the health, prosperity, and well-being of the communities we serve.

Uphold the highest standards, with integrity driving every decision made and every action taken. Guided by relentless stewardship in the management of resources entrusted to them.

• Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM) and quality.
• Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into CDI Software resulting in accurate metrics obtained through the reconciliation process.

Understands and supports CDI documentation strategies (upon completionof didactic training) and continues to educate self and team members, by attending monthly mandated education sessions and using educational tools, videos and provided Webinars.

Qualifications The expertise and experiences you’ll need to succeed : ·Minimum of five years acute care experience with specific medical / surgical, Intensive Care, post-acute care unit, or Emergency Department experience.

Current active State license as a Registered Nurse, MD / DO, Nurse Practitioner, Physician’s Assistant or an unlicensed physician who has graduated from a medical school that is listed in the World Directory of Medical Schools ( World Directory ) as meeting eligibility requirements for its graduates to apply to the Educational Commission for Foreign Medical Graduates (ECFMG).

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range.

The minimums and maximums for each position may vary based on geographical location. Category : Quality / Clinical Effectiveness Organization : AdventHealth Tampa Schedule : Full-time Shift : 1 - Day Req ID : 24031721 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.